Job Summary
A company is looking for a Coordinator- Payor Audit, Full Time, Remote.
Key Responsibilities
- Review and assess audit-related denials for outpatient, procedural, and inpatient cases
- Analyze diagnostic and procedural information from medical records for reimbursement and billing purposes
- Ensure compliance with coding guidelines, third-party reimbursement policies, and accreditation standards
Required Qualifications, Training, and Education
- Minimum three to five (3-5) years of clinical experience preferred
- Thorough knowledge of anatomy, physiology, pathophysiology, medical terminology, pharmacology, and coding systems
- Minimum of two years of inpatient and outpatient coding experience preferred but not required
- RHIT, RHIA, or related coding certification required
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